Abstract:
OBJECTIVE:Development and evaluation of a method of training primary care providers in psychiatric skills which utilizes videofeedback of real and role-played consultations in a group setting. METHOD:The development of the basic training approach and additional material for teaching specific skills is described. Evaluation has addressed the impact of training on 1) clinician behavior and 2) measures of outcome. RESULTS:Research over a number of years has demonstrated an impact on clinician behavior with some evidence of impact on clinical and economic measures and patient satisfaction. CONCLUSIONS:Videofeedback training appears to be most effective when it is provided with a clear model for the professional-patient interaction. Its effectiveness can be further enhanced by delineating sets of component microskills that can be learned using a combination of videotape modeling, role-play, and feedback. Challenges for future research include investment in randomized controlled trials for outcome, developing the training approach for a range of primary care workers, training sufficient group facilitators, and achieving widespread dissemination without subsequent dilution of effectiveness.
journal_name
Int J Psychiatry Medjournal_title
International journal of psychiatry in medicineauthors
Gask Ldoi
10.2190/U8MM-JX7Y-LT0T-RKPXsubject
Has Abstractpub_date
1998-01-01 00:00:00pages
97-113issue
1eissn
0091-2174issn
1541-3527journal_volume
28pub_type
杂志文章,评审abstract:BACKGROUND:The rate of smoking is known to be high in patients with schizophrenia. The purpose of this study was to quantitatively examine the relationship between smoking and family history of smoking in patients with schizophrenia. METHODS:The sample consisted of 172 patients (mean age: 54 years, 55% male) hospitali...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.2.h
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. The purpose of this study was to conduct systematic ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/PM.38.3.b
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:To propose an answer to Medicine's confusion about what Type A Behavior is. METHOD:To critically review early writings about Type A as well as current literature with a focus on five key articles which are frequently mentioned in medical and lay literature as containing relevant data undermining the Type A h...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/CDU1-6JN8-RDW8-70RN
更新日期:1993-01-01 00:00:00
abstract::Caring for patients can induce intense emotions in psychiatrists. Although clinical experience suggests that such feeling can become a source of stress for the psychiatrists, particularly the first year resident, and interfere adversely with patient care, research in this area has been lacking. We studied a group of p...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/nl9x-7tb9-4npm-0f6k
更新日期:1986-01-01 00:00:00
abstract::Although many leaders of the medical profession feel that community physicians should take responsibility for the psychiatric disorders of their patients, only a little more than half of the respondents in the current study agreed. The variations in willingness to take on this role and in interest in psychiatric activ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/pwk5-0r78-t7kk-lj5j
更新日期:1980-01-01 00:00:00
abstract::There have been consistent reports in the psychosomatic literature indicating that a patient's perception of tinnitus as well as differential response to various treatment modalities may be affected by personality variables. The present study examined several personality correlates of subjective tinnitus in forty-five...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/e59l-2pru-gpae-vj8b
更新日期:1985-01-01 00:00:00
abstract::The authors discuss the case of a mildly disfigured patient with Neurofibromatosis from the perspectives of his distorted body image, need to attribute problems in his social and work lives to unrealistic assessment of his disfigurement, changes in his self-concept following communication training, and the need for ph...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/rpjq-g087-4qly-rped
更新日期:1981-01-01 00:00:00
abstract::Clonazepam, a unique benzodiazepine with anticonvulsant and serotonin enhancing capacity, can be used in conjunction with conventional psychopharmacologic agents to treat a variety of psychiatric conditions including schizophrenia, borderline personality disorder, and psychotic mania. Three representative case studies...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6dk0-tpwy-mcdj-ddf9
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVE:This study developed a Japanese self-rating anxiety scale, the Himorogi Self-rating Anxiety Scale (HSAS), and tested psychometric properties of its use in Japanese psychiatric patients. METHODS:The process of developing the scale consisted of an intensive literature review, assessment of existing instruments...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.41.1.d
更新日期:2011-01-01 00:00:00
abstract::The present study examines the sensitivity and specificity of the Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for post-stroke depression. Eighty stroke patients were evaluated by a research nurse over a two-year period using the CES-D and also by a trained psychiatrist using a s...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/bh75-euya-4fm1-j7qa
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:Psychosocial associations have been observed with level of cervical dysplasia or "pre-cancer" and invasive cervical cancer [related to human papillomavirus (HPV) infection]. Psychoneuroimmunological relationships have been observed in human immunodeficiency virus type 1 (HIV-1) infection, which is being descr...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/F8F0-4UK8-XV79-EC6G
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:The development of instruments to measure emotional maladjustment in diabetic Hispanic populations has received little attention. We present the development and validation of the Diabetes Emotional Adjustment Scale in Spanish. METHOD:An eighteen-item self-administered scale was construed to assess emotional ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/95FU-2TVW-UA8C-LPN8
更新日期:1995-01-01 00:00:00
abstract::Acute confusional state (delirium) appears as one of the common neuropsychiatric manifestations of systemic lupus erythematosus (SLE). It has been suggested that neuropsychiatric SLE (NP-SLE) could promote the occurrence of drug-induced extrapyramidal symptoms (EPS). Atypical antipsychotics have been thought to be use...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/P2T8-Y12E-ANKM-8MWF
更新日期:2003-01-01 00:00:00
abstract::This article presents several case studies which illustrate the way in which a terminal patient's attention may be diverted from the primary disease process, cancer, to secondary somatic symptomatology such as pain and nausea. This phenomenon has important consequences for the patient, family, physician, and the patie...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/ap4y-x1u9-ftdh-w7dc
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVE:To compare the risk of sexual arousal difficulties between two groups of depressed female patients in remission who were treated with either escitalopram or fluoxetine. Associated factors were also examined. METHODS:This was a cross-sectional study involving 112 female patients attending the psychiatric clin...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.43.4.h
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:Depression has been found to impede several health outcomes among people living with HIV, but little research has examined whether depression treatment mitigates this influence. We assessed the impact of antidepressant therapy on measures of work, condom use, and psychosocial well-being among depressed HIV cl...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.48.3.a
更新日期:2014-01-01 00:00:00
abstract::The author describes the delivery of medical, psychiatric and social work services to residents of a facility for the aged. Although the Home had already benefited from the introduction of sound medical standards and the influence of an acute medical hospital, a satisfactory staff organization needed to be developed t...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/k1ed-ep92-n418-n8a8
更新日期:1978-01-01 00:00:00
abstract:OBJECTIVE:This article reviews burnout in psychiatrists. A model of burnout is presented which considers three factors: those which may predispose, precipitate, and perpetuate burnout. Lastly, recommendations are made for future research. METHODS:We conducted a selective literature review to expand on two recent syste...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章,评审
doi:10.2190/8XWB-AJF4-KPRR-LWMF
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVE:To gain more understanding about the relationship between human immunodeficiency virus type 1 (HIV-1) infection and new-onset psychosis, we compared clinical and immunological findings, psychiatric symptoms, global cognitive performance and, when available, computerized tomography (CT) findings between HIV-1-...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PLGX-N48F-RBHJ-UF8K
更新日期:2000-01-01 00:00:00
abstract::Males with anxiety disorders appear to have increased mortality due to circulatory system disease, and Type A behavior is a risk factor for coronary heart disease (CHD). Thus, we determined Type A behavior in anxious patients. Fifty-seven DSM-III defined anxiety disorder patients completed the Jenkins Activity Survey ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/updt-4qcv-fhr3-lud6
更新日期:1986-01-01 00:00:00
abstract::Sixty right-handed adult subjects, divided equally into three groups (mildly depressed, normal, and "low normal") on the basis of the Zung self-Rating Depression Scale, were exposed for forty seconds each to forty-eight imagery items designed to reflect happy, sad, angry, and fearful situations. Expressed emotion (fac...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/h3ax-k9nm-q2xl-6gr3
更新日期:1982-01-01 00:00:00
abstract::Depression, anxiety and fear of recurrence following myocardial infarction often lead to disability in excess of actual cardiac impairment in a large number of patients. The high social, economic and emotional cost of psychogenic cardiac invalidism has stimulated the development of cardiovascular rehabilitation progra...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6bca-7buk-0vwd-83le
更新日期:1977-01-01 00:00:00
abstract::Personal and familial psychopathological histories and information about early losses were collected and the results of the locus of control test and tests for psychological responses were determined for a series of ninety-two HIV-infected subjects (58 drug addicts; 26 homosexuals; 8 heterosexuals, partners of drug ad...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/8R5Y-1KFG-5JN8-R0DP
更新日期:1990-01-01 00:00:00
abstract::The failure-to-thrive syndrome in geriatric patients is marked by social withdrawal, apathy, depression, anorexia, and cognitive impairment. For therapy to be effective, the treatment plan must target several of theseareas. This case report describes one such course of treatment for a patient with multiple myeloma wit...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/J82T-B61G-7DHD-4PW5
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVE:To determine if demographic differences exist in patients with depressive symptoms as the principal reason for visits to primary care physicians (PCP) versus psychiatrists. To estimate the likelihood of these patients receiving a range of mental health services from each provider group. METHODS:Review and an...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/6BUL-MWTQ-0M18-30GL
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:The authors sought to evaluate psychiatric comorbidity, subjective quality of life, and impact of psychopathology on quality of life measures in a clinical sample of patients attending a center for the diagnosis and treatment of obesity compared to a matched sample of non-obese subjects. METHODS:Two hundred ...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/PM.39.1.e
更新日期:2009-01-01 00:00:00
abstract::Forgiveness as a procedure has been gaining prominence. The objective of this article is to provide the basics of forgiveness as an intervention so primary care clinicians can facilitate its use. These clinicians include but are not limited to physicians, nurses, medical assistants, pharmacy professionals, physical th...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217419885468
更新日期:2020-03-01 00:00:00
abstract::Background and Objectives This pilot study provides a description and evaluation of process-oriented dynamic group psychotherapy for depression as a teaching modality for family medicine residents. The main purpose of using this modality was to teach family medicine residents a variety of psychological clinical skills...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417703290
更新日期:2017-01-01 00:00:00
abstract:AIMS:A modified version of the Mental Adjustment to Cancer Scale (The Mental Adjustment to HIV Scale--MAHIVS) was used to evaluate patterns of psychological adjustment in response to HIV infection. METHODS:A sample of 164 HIV positive homosexual/bisexual men were recruited across three Australian centers (79 asymptoma...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.2190/FK4E-B9VJ-K4UG-0H0R
更新日期:2000-01-01 00:00:00
abstract::In August 2016, U.S. Surgeon General Vivek Murthy, MD, MBA, issued a letter to healthcare providers requesting aid in addressing "an urgent health crisis facing America: the opioid epidemic." In this article, we address some of the more poignant challenges that surface in treating patients with opiate addiction. We pr...
journal_title:International journal of psychiatry in medicine
pub_type: 杂志文章
doi:10.1177/0091217417720897
更新日期:2017-03-01 00:00:00